ArticleCureus2021
Risk Factors Associated With Birth Asphyxia in Term Newborns at a Tertiary Care Hospital of Multan, Pakistan.
Article in Cureus, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.
- Incidence of neonatal asphyxia and associated risk factors: a systematic review and cumulative meta-analysis.BMC pediatrics · 2025Pooled it
- Determinants of Birth Asphyxia Among Neonates in Selected Hospitals of Ethiopia: A Multi-site Unmatched Case-Control Study.BMC pregnancy and childbirth · 2025Article
- Determinants of Birth Asphyxia Among Newborns at a Tertiary Care Hospital, Central Ethiopia: A Case-Control Study.BioMed research international · 2025Article
- Determinants of Adverse Perinatal Outcomes in Ibadan, Nigeria: The influence of maternal lifestyle.PLOS global public health · 2025Article
- Correlation analysis between the amniotic fluid contamination and clinical grading of neonatal hypoxic-ischemic encephalopathy and biomarkers of brain damage.BMC pediatrics · 2024Observational
- Time to death and predictors of mortality among asphyxiated neonates in southwest Ethiopia, 2022: prospective cohort study.BMJ open · 2024Article
- Automated approach for fetal and maternal health management using light gradient boosting model with SHAP explainable AI.Frontiers in public health · 2024Article
- A Fetal Well-Being Diagnostic Method Based on Cardiotocographic Morphological Pattern Utilizing Autoencoder and Recursive Feature Elimination.Diagnostics (Basel, Switzerland) · 2023Article
- Application of machine learning to identify risk factors of birth asphyxia.BMC pregnancy and childbirth · 2023Article
- Maternal and Fetal Risk Factors for Neonatal Hypoxic-Ischemic Encephalopathy: A Retrospective Study.International journal of general medicine · 2023Article
- Perinatal maternal characteristics predict a high risk of neonatal asphyxia: A multi-center retrospective cohort study in China.Frontiers in medicine · 2022Article
- Risk Factors for Birth Asphyxia in Hospital-Delivered Newborns in Dodoma, Tanzania: A Case-Control Study.SAGE open nursingArticle
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background Perinatal asphyxia is one of the main causes of death in term newborns. During the past two decades, no significant progress has been made in reducing neonatal deaths in developing countries. This study was aimed to determine various factors associated with birth asphyxia in term newborns at a tertiary care hospital of Multan, Pakistan. Methods This case-control study was conducted at the Neonatal pediatrics Department, The Children's Hospital, Multan in collaboration with the labor room of Nishtar Hospital Multan from April 2020 to September 2020. Newborns delivered in the labor room with a low Apgar score of five or less at the first minute were recruited as cases and newborns with an Apgar score of more than five in the first minute were recruited as controls. The demographic information of neonates and mothers was noted. A Performa was used to collect all information. All data were analyzed through SPSS 26.0 (IBM SPSS Inc., Chicago, IL, USA). Results A total of 426 newborns (213 cases and 213 controls) were enrolled. In cases, there were 132 males and 81 females whereas there were 115 males and 98 females in the control group (P=0.09). Majority 132 (62%) mothers of cases were primiparous compared with 110 (52%) mothers of control. The difference in parity of mothers of cases and control (P=0.03) was significant. Prolonged labour was noted in cases 123 (58%) vs. controls 55 (26%) (P=0.001) while fetal distress was found in 120 (56%) cases and 45 (21%) controls (P=0.001). Meconium was found in the amniotic fluid in 171 (80%) cases and 86 (40%) controls (P=0.001). All other risk factors turned out to be insignificant between cases and controls (P>0.05). Conclusion Meconium stained liquor is a major risk factor for birth asphyxia. Prolonged labor of more than 24-hour period, as well as fetal distress, is also a major risk factor of perinatal asphyxia. Involving obstetricians in the present research give more reliability and reproducibility of the data collected.
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